Healthcare Provider Details

I. General information

NPI: 1891534533
Provider Name (Legal Business Name): ARI SHAPIRO LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2024
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3655A OLD COURT RD
BALTIMORE MD
21208-3959
US

IV. Provider business mailing address

2305 SUGARCONE RD
BALTIMORE MD
21209-1031
US

V. Phone/Fax

Practice location:
  • Phone: 410-630-9064
  • Fax:
Mailing address:
  • Phone: 443-902-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number9366
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number32640
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: